Hudefi, Fayz A
Hudefi, Fayz A is an individual health care provider with primary practice located at 1001 Towson Ave Fl 6 , Fort Smith AR 72901-4921. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Hudefi, Fayz A can be contacted via phone (479) 441-5601.Contact Information
Primary practice address
1001 Towson Ave Fl 6
Fort Smith AR 72901-4921
Phone: (479) 441-5601
Fax: (479) 709-7423
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | E4773 | Arkansas |
Allopathic & Osteopathic Physicians / Addiction Medicine | 2084A0401X | E-4773 | Arkansas |
Profile Details
NPI number | 1992740393 |
---|---|
LBN Legal business name | Hudefi, Fayz A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 19th, 2006 |
Last updated | Nov 21st, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1992740393 | NPPES |
Arkansas | Other | 06070018900 | QUALCHOICE |
Arkansas | Other | 5N608 | QUALCHOICE |
Arkansas | MEDICAID | 162087001 | QUALCHOICE |
Arkansas | MEDICAID | 200088300A | QUALCHOICE |
Arkansas | Other | 000181515 | QUALCHOICE |
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